2025-08-15T13:15:21-05:00 2024-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-10-01 271865510 MILE BLUFF MEDICAL CENTER FOUNDATION INC MILE 6088476161 1050 DIVISION STREET MAUSTON WI 53948 TOM KAMINSKI CFO 6088476161 2025-08-15 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-08-14 2023 2025-03-06 01:10:19Z DARA BARTELS 1050 DIVISION STREET MAUSTON WI 53948 1633417 0 X WWW.MILEBLUFF.COM X 2009 WI GIVE INDIVIDUALS AND BUSINESSES THE OPPORTUNITY TO TAKE AN ACTIVE ROLE TO IMPACT LOCAL HEALTHCARE. 6 5 0 20 0 0 1048026 1379487 0 0 19585 64259 -2381 14071 1065230 1457817 115349 254142 0 0 0 0 52330 107225 156328 102015 59239 269694 420606 795536 1037211 1305362 2333012 11455 1894 1293907 2331118 X MILE BLUFF MEDICAL CENTER FOUNDATION PROVIDES PHILANTHROPIC OPPORTUNITIES AND SUPPORT TO MILE BLUFF MEDICAL CENTER AND ASSISTS IT IN FULFILLING ITS MISSION, ADHERING TO ITS CORE VALUES AND PURSUING ITS VISION TO PROVIDE THE COMMUNITY WITH EXCEPTIONAL, PERSONALIZED HEALTH CARE SERVICES. 0 0 264278 254142 0 MILE BLUFF MEDICAL CENTER FOUNDATION WAS ESTABLISHED IN 2010. THE FOUNDATION FOSTERS CHARITABLE GIVING THAT SUPPORTS THE VISION OF MILE BLUFF MEDICAL CENTER AND PROVIDES SOUND STEWARDSHIP OF CONTRIBUTIONS TO THE ORGANIZATION. THE FOUNDATION ALSO STRIVES TO IMPACT THE HEALTH OF THE COMMUNITY THROUGH EDUCATION AND EVENTS. CONTRIBUTIONS DIRECTLY IMPACT THE CARE THAT IS PROVIDED AT THE MEDICAL CENTER AND IMPACTS THE HEALTH OF THE COMMUNITY FOR ALL GENERATIONS. GIFTS PROVIDE PATIENTS ACCESS TO EXCEPTIONAL LOCAL HEALTHCARE SERVICES TODAY AND ALWAYS. MILE BLUFF MEDICAL CENTER FOUNDATION PUTS 100 PERCENT OF ITS CONTRIBUTIONS TOWARDS SUPPORTING ITS MISSION IN THE COMMUNITY. STATEMENT CONTINUED ON SCHEDULE O. CONTRIBUTIONS MAKE IT POSSIBLE TO SUPPLY AND INSTALL STATE-OF-THE-ART MEDICAL EQUIPMENT, PROVIDE SCHOLARSHIPS, EDUCATION AND TRAINING FOR HEALTHCARE WORKERS, HOLD COMMUNITY CLASSES, EVENTS, AND PROGRAMMING, AND HELP THE MEDICAL CENTER GO ABOVE AND BEYOND ITS MISSION. 264278 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 6 5 1 0 0 0 1 1 0 1 0 0 0 0 1 1 1 1 1 0 0 0 WI X DARA BARTELS 6088476161 1050 DIVISION STREET MAUSTON WI 53948 DARA BARTELS PRESIDENT & CEO 0.30 40.50 X X 0 513084 53786 LYNN ERICKSON CHAIR 0.10 X X 0 0 0 LINDA WALKER SECRETARY 0.10 X X 0 0 0 APRIL GRIFFIS TREASURER 0.10 X X 0 0 0 MOLLY SCULLY DIRECTOR 0.10 X 0 0 0 MELISSA HEREK DIRECTOR 0.10 X 0 0 0 0 513084 53786 0 0 1 0 MCDONALD SCHAEFER 2810 CROSSROADS DR STE 4000 MADISON WI 53718 PROFESSIONAL FUNDRAISING SERVICES 116125 1 4335 1375152 10000 1379487 13396 13396 194266 143403 50863 50863 50863 46256 4335 32197 14059 14059 12 12 12 1457817 0 0 78330 254142 254142 107225 107225 3466 3466 31740 31740 799 799 6043 6043 EMPLOYEE ASSISTANCE 10136 10136 DUES & SUBSCRIPTIONS 3988 3988 EDUCATION 2993 2993 REPAIRS & MAINTENANCE 74 74 420606 264278 0 156328 559981 757207 11562 558678 733819 1017127 1305362 2333012 9633 500 1822 1394 11455 1894 X 251220 1288431 1042687 1042687 1293907 2331118 1305362 2333012 1037211 0 X 0 1 X 1 0 X X 1 MILE BLUFF MEDICAL CENTER INC 390992883 3 1 254142 10136 1 254142 10136 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART IV, SECTION A, LINE 1 THE FOUNDATION WAS ORGANIZED AND WILL BE OPERATED EXCLUSIVELY TO BENEFIT AND CARRY OUT THE PURPOSES OF THE MEDICAL CENTER AND CERTAIN OF THE MEDICAL CENTER'S RELATED ORGANIZATIONS (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"). THE MEDICAL CENTER IS A WISCONSIN NONSTOCK CORPORATION THAT IS A CODE SECTION 501(C)(3) ORGANIZATION AND A PUBLIC CHARITY DESCRIBED IN CODE SECTIONS 170(B)(1)(A)(III) AND 509(A)(1). AS SET FORTH IN THE FOUNDATION'S ARTICLES OF INCORPORATION, IN ORDER FOR ONE OF THE MEDICAL CENTER'S RELATED ORGANIZATIONS TO QUALIFY AS A SUPPORTED ORGANIZATION OF THE FOUNDATION, THE RELATED ORGANIZATION MUST (1) BE DESCRIBED IN CODE SECTION 501(C)(3) (2) BE A PUBLIC CHARITY DESCRIBED IN CODE SECTION 509(A)(1) OR 509(A)(2) AND (3) BE DIRECTLY OR INDIRECTLY CONTROLLED BY, UNDER COMMON CONTROL WITH, OR IN CONTROL OF THE MEDICAL CENTER. SCHEDULE A, PART IV, SECTION B, LINE 1 THE FOUNDATION'S SUPPORTED ORGANIZATIONS SERVE AS ITS MEMBERS, WILL ELECT ALL OF THE FOUNDATION'S DIRECTORS, AND HAVE THE AUTHORITY TO AMEND THE FOUNDATION'S GOVERNING DOCUMENTS. AT THIS TIME, ONLY THE MEDICAL CENTER IS ACTING AS A MEMBER, AND THEREFORE SUPPORTED ORGANIZATION, OF THE FOUNDATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 NORTHWESTERN MUTUAL INVESTMENTS 1017127 F 1017127 INTERCOMPANY TRANSFER 1394 1394 X X X X X X 1 MCDONALD SCHAEFER 2810 CROSSROADS DR STE 4000 MADISON WI 53718 FEASIBILITY STUDY, PREPARATION FOR AND IMPLEMENTATION OF CAP 0 1178268 107225 1071043 1178268 107225 1071043 WI GOLF OUTING 26170 1428 24742 700 1687 3525 2851 915 DUELING PIANOS 13958 2907 11051 500 4513 3689 1 10463 10463 13800 17 50591 4335 46256 700 15487 4025 7364 3689 932 32197 14059 1 MILE BLUFF MEDICAL CENTER 1050 DIVISION ST MAUSTON WI 53948 390992883 501(C)(3) 254142 0 GENERAL OPERATIONS 1 0 PART I, LINE 2: THE FOUNDATION IS A SUPPORTING ORGANIZATION OF MILE BLUFF MEDICAL CENTER. THE MISSION IS TO PROVIDE SUPPORT TO MILE BLUFF MEDICAL CENTER AND ASSIST IN FULFILLING ITS MISSION OF PROVIDING HEALTHCARE SERVICES. THE OFFICERS OF THE MEDICAL CENTER AND BOARD MEMBERS WORK CLOSELY TOGETHER TO ENSURE THE FUNDS ARE USED FOR THE INTENDED PURPOSE. 0 0 0 0 0 0 0 0 0 DARA BARTELS PRESIDENT & CEO 0 462991 0 48668 0 1425 0 16500 0 37286 0 566870 0 0 SCHEDULE J, PART I, LINE 3 THE PRESIDENT/CEO IS COMPENSATED BY MILE BLUFF MEDICAL CENTER, A RELATED ORGANIZATION, FOR SERVICES PROVIDED TO THE MEDICAL CENTER. MILE BLUFF MEDICAL CENTER HAS PROCESSES IN PLACE TO DETERMINE COMPENSATION. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP THE OFFICERS AND BOARD MEMBERS HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER: 1. DARA BARTELS IS THE MBMC CEO (OFFICER) AND KATIE NUTTALL AND APRIL GRIFFIS ARE MBMC EMPLOYEES 2. MOLLY SCULLY IS THE PRESIDENT OF BANK OF MAUSTON, MBMC FOUNDATION'S MAIN BANKING RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 THE FOUNDATION HAS A SINGLE CLASS OF VOTING MEMBERS. THE SOLE MEMBER OF THAT CLASS IS MILE BLUFF MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 8B THE FOUNDATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS NOT PROVIDED TO THE GOVERNING BODY BEFORE IT WAS FILED. THE CEO OF MILE BLUFF MEDICAL CENTER, A RELATED ORGANIZATION, REVIEWS THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION'S BOARD OF DIRECTORS IS REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST POLICY. THE BOARD MEMBERS MUST DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST WHENEVER THE CONFLICT PERTAINS TO A MATTER BEING CONSIDERED BY THE BOARD OF DIRECTORS. ANY DIRECTOR HAVING A CONFLICT OF INTEREST ON ANY MATTER SHALL ABSTAIN FROM VOTING ON THE MATTER AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE VOTE ON THE MATTER. THE MINUTES OF THE MEETING INVOLVING ANY SUCH SITUATION SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM SITUATION. IF A DIRECTOR IS UNCERTAIN AS TO WHETHER HE OR SHE HAS A CONFLICT OF INTEREST WHICH REQUIRES ABSTENTION, OR IF A DIRECTOR ASSERTS THAT ANOTHER DIRECTOR HAS SUCH A CONFLICT, THE BOARD OF DIRECTORS, BY MAJORITY VOTE OF THOSE PRESENT OTHER THAN THE DIRECTOR HAVING THE POSSIBLE CONFLICT, SHALL DECIDE WHETHER ABSTENTION IS REQUIRED. IF ABSTENTION IS REQUIRED, THE AFFECTED DIRECTOR SHALL ABSTAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. MILE BLUFF MEDICAL CENTER INC 1050 DIVISION STREET MAUSTON WI 53948 390992883 PROVISION OF HEALTH CARE SERVICES WI 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0